Health Status of Medicare Enrollees in HMOs and Fee-for-Service in 1994
- 1 January 1996
- journal article
- research article
- Vol. 17 (4) , 65-76
Abstract
We compared the health status of 863 health maintenance organization (HMO) enrollees with that of 4,576 non-enrollees, controlling for demographics and area of residence, using 1994 data from the Medicare Current Beneficiary Survey (MCBS). HMO respondents were less likely to report fair or poor health, functional impairment, or heart disease. Average predicted costs based on various health-status measures were substantially lower for HMO respondents than for respondents in fee-for-service (FFS) arrangements.Keywords
This publication has 17 references indexed in Scilit:
- Improving the AAPCC With Health-Status Measures From the MCBS1996
- Risk-Adjusted Medicare Capitation Rates Using Ambulatory and Inpatient Diagnoses1996
- Diagnosis-Based Risk Adjustment for Medicare Capitation Payments1996
- A Profile of the Medicare Current Beneficiary Survey1994
- Selection Bias in TEFRA At-Risk HMOsMedical Care, 1991
- Biased Selection and Regression toward the Mean in Three Medicare HMO Demonstrations: A Survival Analysis of Enrollees and DisenrolleesMedical Care, 1989
- Beneficiary selection, use, and charges in two Medicare capitation demonstrations1988
- Adjusting capitation using chronic disease risk factors: A preliminary study1987
- Medicare capitation payments to HMOs in light of regression toward the mean in health care costs.1985
- Improving the Medicare HMO payment formula to deal with biased selection.1985